Individual
MR. PETER FOX GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
11149 NW 39TH ST, SUNRISE, FL 33351-7572
(954) 336-6158
Mailing address
11149 NW 39TH ST, SUNRISE, FL 33351-7572
(954) 336-6158
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA40622
FL
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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